Active NPI
Institute of Family Health
- Personal Emergency Response Attendant
- Merrillville, IN
National Provider Identifier
1740406602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Emergency Response Attendant
- License
- 01026604A
- Legal business name
- INSTITUTE OF FAMILY HEALTH
- Practice address
- 5454 Broadway
Merrillville, IN 46410 - Phone
- (219) 884-2600
- Fax
- (219) 985-0570
- NPI assigned
- Apr 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jerald S, M.D.
- Title
- Surgeon
- Phone
- (708) 798-4664
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Emergency Response Attendant | 146D00000X | 01026604A | IN | Primary |
Addresses
Primary practice location
5454 Broadway
Merrillville, IN 46410
Mailing address
5454 Broadway
Merrillville, IN 46410-1648
Phone (219) 884-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100168290 | Medicaid | IN |
National Provider Directory
National Provider Directory- Tax ID family
- Institute of Family Health
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ph.D. Medical Genetics
- Merrillville, IN
- NPI 1760607279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213056000000",
"number": "1740406602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5454 BROADWAY",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464101648",
"telephone_number": "219-884-2600",
"fax_number": "219-985-0570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5454 BROADWAY",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "46410",
"telephone_number": "219-884-2600",
"fax_number": "219-985-0570"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSTITUTE OF FAMILY HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-18",
"last_updated": "2008-06-10",
"status": "A",
"authorized_official_last_name": "S",
"authorized_official_first_name": "JERALD",
"authorized_official_title_or_position": "SURGEON",
"authorized_official_telephone_number": "708-798-4664",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "146D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Personal Emergency Response Attendant",
"state": "IN",
"license": "01026604A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100168290",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Merrillville, IN
- Infectious Disease Specialists PC
- Denise M Ingram
- Innovations in Learning, PC
- Innovative Company
- Inspired Health LLC
- Institute of Family Health
- Integrity Home Health of Lake County Inc
- Integrity Home Health of Northwest Indiana Inc.
- Internal Medicine Associates
- Internal Medicine Center of NW Indiana, PC (Advanced Rehabilitation Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.